Optimal feeding of the low birth weight infant. Technical review.

Optimal feeding of the low birth weight infant. Technical review.
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低出生体重婴儿的最佳喂养。

DOI:
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发表时间:
2007
期刊:
影响因子:
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通讯作者:
R. Bahl
R. Bahl
中科院分区:
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文献类型:
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作者:
K. Edmond;R. Bahl

文献摘要

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儿童和青少年健康司与伦敦卫生和热带医学院流行病学部合作,对低出生体重儿的喂养问题进行了系统审查。审查涉及以下关键问题:喂什么,什么时候开始喂,如何喂,多久喂一次,多少量。这些问题针对低出生体重儿的三个亚组--妊娠不到32周的早产儿、妊娠32-36周的早产儿和足月低出生体重儿回答。考虑的结果是死亡率、严重发病率、生长和发育。这项审查清楚地显示了纯母乳喂养对低出生体重儿的三个亚组的好处。它总结了针对不同亚群补充微量营养素的证据。此外,审查确定了喂养还不能直接母乳喂养的低出生婴儿的安全替代方法。
The Department of Child and Adolescent Health, in collaboration with the epidemiology unit of the London School of Hygiene and Tropical Medicine, conducted this systematic review of issues in feeding of low birth weight infants. The review addresses the following key questions: what to feed, when to start feeding, how to feed, how often and how much. These questions are answered for three subgroups of low birth weight infants - preterm infants of less than 32 weeks gestations, preterm infants of 32-36 weeks gestation and term low birth weight infants. The outcomes considered are mortality, severe morbidity, growth and development. The review clearly shows the benefits of exclusive breast milk feeding for the three subgroups of low birth weight infants. It summarizes the evidence for micronutrient supplementation for the different subgroups. Further, the review identifies safe alternative methods of feeding low birth infants who cannot yet breastfeed directly.